Organization
VIDSTONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S AGUIRRE (MANAGING MEMBER)
(303) 500-1820
Entity
Organization
Contact information
Practice address
5485 S AUTUMN CT, GREENWOOD VILLAGE, CO 80111-3417
(303) 500-1820
(303) 732-6466
Mailing address
5485 S AUTUMN CT, GREENWOOD VILLAGE, CO 80111-3417
(303) 500-1820
(303) 732-6466
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
251B00000X
Case Management Agency
Primary
—
—
341600000X
Ambulance
—
—
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
—
—
Other
Enumeration date
04/28/2014
Last updated
04/13/2018
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